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Readers carefully investigate federal cuts and medical debtes.

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The text to the editor is a periodic function. We will welcome all the opinions and post the choice. Edit length and clarity and require full name.

Trump team’s investigation does not match the behavior.

Recently, KFF Health News article “Ivy League, RFK JR. NIH of RFK JR. has cut off the state of scientific funds that sponsored Trump” (April 17). Due to the rapid succession of the National Institute of Health, which swept the state shortly after Donald Trump’s election, we struggled to understand why the foundation of such important studies, the ability to support the public’s health, to understand why we are unnecessary, worse and harmful.

People often think that research does not directly affect. However, research forms the basis of the best effort to treat, prevent and manage diseases, from chronic diseases such as diabetes, hypertension and HIV to mental health disorders. In addition to basic and application research, NIH subsidies provide direct services to individuals and families and establish a community -based treatment system for residents. It helps all of us.

One of the areas where federal funding research and programs especially influenced is to solve the crisis of the US materials. Relatively humble investments have led to enormous personal, social and economic benefits. The achievements include treatments that use to break the addiction cycle of millions of people, a community to support families with material -related problems, and a policy that reduces material -related status such as crime, suicide and hepatitis and liver disease that shifts far away from the use of materials. We haven’t finished any measurements yet, but this achievement has generated significant profits in investing in individuals and economic terms that are currently in danger.

In a high level of concern, the career scientist group Addiction Science Defense Network Protect the poisoning research and evidence -based practice from this administration’s behavior. The number of researchers, practitioners, and living experiences that express support for ASDN’s mission is increasing to hundreds of people. The Trump administration promises to reduce addiction, but the action is not consistent with the investigation. By reducing research and funding on science -based solutions, we actually guarantee that the problem will continue to deteriorate over time. And, as emphasized in the articles of RAE Ellen Bichell and Rachana Pradhan, the Trump supporters can suffer above all, given that the ratio of overdose is the highest in red.

-Diana Fishbein, Nova Health Scholar, ASDN Coordination Committee and North Carolina University Senior Scientist, Chapel Hill, North Carolina

I’m floating in the federal funds.

Your article “Mom of Crisis, Loss of Jobs: Trump Addiction Reduction” (April 25) mentioned that Niyyyah Recovery Initiative could be affected by losing federal funds. But it was provided Main subsidy It is not related to federal funds from 2027 to 2027 annually, and the estimate of the effect of the service must be disclosed.

John Smythe, Fort Lauderdale, Florida

(Editor’s note: Niyyah Recovery Initiative is provided for $ 200,000 It was introduced to the Minnesota Legal Council. April 2025. As of May 12, I did not receive a hearing or vote.

Put the blessing of the primary care directly

I am almost always a fan of the work published by KFF Health News and NPR, but in the countryside of Massachusetts, “in the rural Massachusetts,” the patient and doctor evaluate the trading off of the concierge “(April 16) contained a very disappointing wrong feature.

The author suggests that “first -time care is similar to concierge medicine, but it does not accept insurance.” Both true DPC patients and concierge patients pay membership fees, but cannot be different. Membership fees for concierge practices can only open you. The patient is still fully paid for all services or out of the network, in some cases, or in some cases. If you use the primary care in person, the monthly cost (usually not an exception, but I’ll hedge) includes unlimited visits, in -house procedures and tests and remote medical promises. Many people even provide a doctor’s ability to send a text message when medical advice is needed more urgently.

I am just a former patient without partnering with the DPC industry in any way. DPC changed my life. For the first time, I felt as if I had actual health care as an adult (33 years old). If you don’t worry about commission services, you did not hesitate to test the flu and covid-19 when you have a respiratory disease, have a skin problem, or treats a long problem. The fact that I have a deductible health plan is rarely important. For $ 100 a month, it was an absolute stealing, and I was a cheerleader for everyone in our region who could afford it. A small number of people who did not have insurance or have not been insured severely have been health care thanks to the practice, and unfortunately they no longer provide primary care.

DPC has thorns. Certainly, not everyone can afford monthly rates. Access can be limited by capded patient loads. But overall, DPCs are blessed for many people, and it is unfair to paint with brushes such as concierge medicine. I hope you see something better from KFF Health News and those partners.

-James Joyce, Opelica, Alabama

I was tired of being in a medical hamster wheel and converted it to a concierge doctor. It feels like a patient instead of the name of the chart.

NILYARD (@naiyard.bsky.social) 2025-04-16T16: 34: 19.766z

-Ian Carter, Hills Boro, Duck Gun

Some medical debt is clearly a scam.

False medical expenses are sold in large quantities to the collection company with legal paid claims (“Diagnosis: Debt: Blockbuster transactions will cut $ 30 billion with medical debt.

I suffered cancer treatment in 2023. I paid all legitimate rates after the Medicare Advantage plan paid. I regularly paid on time. But before paying an additional fee, I checked that the insurance company had received an explanation of the benefit (EOB). These EOB specifications include legal charges and claims.

In February 2024, I received a new statement from SSM Healthcare for Injection Center, Doctor and Hospital. This statement was about a year of accusation and was marked as full in 2023. The SSM system sold some of the fake debt to the agency. I sent a paid statement from the collection company’s payment and a paid statement in the MyChart billing system.

Patients with chemotherapy, surgery and treatment for serious disability conditions often have a cognitive deficit later. These cognitive problems can be short -term but extreme. False medical claims and fraudulent fees are often used in such situations to use the cognitive deficit of the patient. The medical system uses the wrong debt fraud to sell it to a collection company to benefit from debt that does not exist in essence. This system uses the patient and the debt collection industry.

Patients with the elderly and the disabled pay legal debt and fraudulent debt. “Unpaid” medical liabilities are bundled in a manner that cannot be identified as fraudulent or legitimate. A disadvantageous individual cannot manage the document to prove that the debt was paid, and the collection company is afraid and harassed by the individual.

How much debt was legal due to excessive medical liabilities? Nobody will know. But there is a much greater problem than just faith that people don’t pay medical expenses. Organizational fraud is responsible for a large percentage of the debt that companies are excessively purchased and used for profits.

-Diana Rickles, Ballwin, Missouri

Blockbuster trading will cut $ 30 billion with medical debt. Even the sponsor says it’s not enough. -In it. It’s not enough, but it’s something Through ~ @Kfhealthnews

-Ellen Andrews (@CTHEALTHNOTES) April 7, 2025

-Ellen Andrews, Hamden, Connecticut

Do not hesitate to enter the alarm

I am a regular watcher of “CBS MOORNINGS” and always thanked Dr. Céle Gounder from Covid-19 Pandemic. But I found Her report March 28 It was so gentle in the face of tremendous efforts to reduce the health and human service personnel of Robert F. Kennedy JR. in CBS to reduce the health and human service personnel.

This is deadly in preventing disease and future medicine, and from the United States to other countries. Dr. Gounder mentioned that people from Yale left for Toronto. But Dr. Gounder would have been more arbitrary than saying that the influence of these cuts is “still not seen.” For the sky! This cut is fatal to 20,000 talented people who showed the door as well as the health of the United States. Dr. Gounder: You must warn Americans that this is a tragedy.

Undis Kruze, El Cerrito, California

Today in NIMBY LAND: Neighbors are currently stopping hospitals in six different states. uh. Good story @ericlberger @Kfhealthnews: pic.twitter.com/5xrhy2zqjt

Lawson Mansell (@lawsonhmanSell) April 23, 2025

-Lawson Mancell, Washington DC

We must prioritize the mental health of children

As an interesting member of the mental health support community, I write to emphasize an urgent problem that is not noticeable so often. The mental health of our children says, “Children need more mental hospitals, but they are not here.” April 11). As the rates of anxiety, depression, suicide, and behavioral problems among youths, we must take collective behavior to prioritize mental welfare, as in physical health.

Today, children are facing unique stress factors, from academic pressure and social media to family instability and global uncertainty. Such factors can have a big impact on emotional development and overall welfare. However, despite increasing demands, approaches to qualified mental health experts, school counselors and community support services remain limited or inexpensive to many families. Not all hospitals are mounted for mental health cases, and there are few psychiatric and beds available. Children in a mental health crisis do not need to wait a few days or weeks to find treatment. Parents do not have to watch their children’s struggle and do not have to accept concerns seriously. It is treated immediately when the child enters a broken bone. Parents are not given a place to call in a few days.

We must advocate a policy that guarantees mental health checkups in schools, expands funds for youth -centered services, and encourages education to identify early distress signs. Hospitals and mental health facilities should be prepared and prepared to take the patient. Children should not be treated due to lack of beds. Our children should be our priorities. It is not a post -idea of ​​what a medical facility will do to the neighbors. Due to the lack of resources or awareness, no children should suffer silence.

Investing in the mental health of children is not merciful, but smart. Healthy and supported children are likely to be successful and socially successful and ultimately be a well -adjusted adult. We will help all children access the needs they need.

-Jennifer GroSeclose, Leeton, Missouri





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